Concluded Case

A diabetic female presented with Dyspnea since 3 days (with dry cough present since 25 days) ...CBC , ECG and other routine investigations were normal...On examination, basal crepts were heard.. Xray showed b/l basal ground glassing...HRCT Chest was done...comment on approach

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Concluded answer

Patient presented with SOB for 3 days, dry cough for 25 days and she is diabetic. D- DIMER is positive. X- ray chest bilateral lower zone haziness, atherosclerotic aortic wall calcification. More informations about signs and symptoms of the patient are required. sputum for AFB, Sputum CS, CB- NAAT, CTPA, 2D-ECHO etc

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Patient presented with SOB for 3 days, dry cough for 25 days and she is diabetic. D- DIMER is positive. X- ray chest bilateral lower zone haziness, atherosclerotic aortic wall calcification. More informations about signs and symptoms of the patient are required. sputum for AFB, Sputum CS, CB- NAAT, CTPA, 2D-ECHO etc

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CECT Thorax shows nothing related to Pulmonary embolism...d dimer levels are not raised much...patient is responding to steroids and nebulization...going towards ILD

Also get 2D ECHO for RV Hypokinesia n plan CT PULMONARY ANGIOGRAPHY to rule out PE.

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I agree with Dr S Chattopdhyay

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rule out viral pneumonia,mycoplasma pneumonia urine R,RFT to r/o goodpasture acute exacerbation of chronic ILD

get 2 D echo done

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2D echo is required.

Better to get 2D Echo done

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Echo and pul angiogram

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She needsO2 saturation levels, blood gases,ecg,2d echo.

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